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Schuster, Andreas
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Schuster, Andreas
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Schuster, Andreas
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Schuster, A.
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2021-05-17Journal Article Research Paper [["dc.bibliographiccitation.artnumber","60"],["dc.bibliographiccitation.issue","1"],["dc.bibliographiccitation.journal","Journal of Cardiovascular Magnetic Resonance"],["dc.bibliographiccitation.volume","23"],["dc.contributor.author","Metschies, Georg"],["dc.contributor.author","Billing, Marcus"],["dc.contributor.author","Schmidt-Rimpler, Jonas"],["dc.contributor.author","Kowallick, Johannes T."],["dc.contributor.author","Gertz, Roman J."],["dc.contributor.author","Lapinskas, Tomas"],["dc.contributor.author","Pieske-Kraigher, Elisabeth"],["dc.contributor.author","Pieske, Burkert"],["dc.contributor.author","Lotz, Joachim"],["dc.contributor.author","Bigalke, Boris"],["dc.contributor.author","Kutty, Shelby"],["dc.contributor.author","Hasenfuß, Gerd"],["dc.contributor.author","Kelle, Sebastian"],["dc.contributor.author","Schuster, Andreas"],["dc.contributor.author","Backhaus, Sören J."],["dc.date.accessioned","2021-11-25T11:12:48Z"],["dc.date.available","2021-11-25T11:12:48Z"],["dc.date.issued","2021-05-17"],["dc.date.updated","2021-11-19T12:47:36Z"],["dc.description.abstract","Abstract Background Myocardial deformation analyses using cardiovascular magnetic resonance (CMR) feature tracking (CMR-FT) have incremental value in the assessment of cardiac function beyond volumetric analyses. Since guidelines do not recommend specific imaging parameters, we aimed to define optimal spatial and temporal resolutions for CMR cine images to enable reliable post-processing. Methods Intra- and inter-observer reproducibility was assessed in 12 healthy subjects and 9 heart failure (HF) patients. Cine images were acquired with different temporal (20, 30, 40 and 50 frames/cardiac cycle) and spatial resolutions (high in-plane 1.5 × 1.5 mm through-plane 5 mm, standard 1.8 × 1.8 x 8mm and low 3.0 × 3.0 x 10mm). CMR-FT comprised left ventricular (LV) global and segmental longitudinal/circumferential strain (GLS/GCS) and associated systolic strain rates (SR), and right ventricular (RV) GLS. Results Temporal but not spatial resolution did impact absolute strain and SR. Maximum absolute changes between lowest and highest temporal resolution were as follows: 1.8% and 0.3%/s for LV GLS and SR, 2.5% and 0.6%/s for GCS and SR as well as 1.4% for RV GLS. Changes of strain values occurred comparing 20 and 30 frames/cardiac cycle including LV and RV GLS and GCS (p < 0.001–0.046). In contrast, SR values (LV GLS/GCS SR) changed significantly comparing all successive temporal resolutions (p < 0.001–0.013). LV strain and SR reproducibility was not affected by either temporal or spatial resolution, whilst RV strain variability decreased with augmentation of temporal resolution. Conclusion Temporal but not spatial resolution significantly affects strain and SR in CMR-FT deformation analyses. Strain analyses require lower temporal resolution and 30 frames/cardiac cycle offer consistent strain assessments, whilst SR measurements gain from further increases in temporal resolution."],["dc.description.sponsorship","Open-Access-Publikationsfonds 2021"],["dc.identifier.citation","Journal of Cardiovascular Magnetic Resonance. 2021 May 17;23(1):60"],["dc.identifier.doi","10.1186/s12968-021-00740-5"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/93537"],["dc.language.iso","en"],["dc.notes.intern","DOI-Import GROB-425"],["dc.publisher","BioMed Central"],["dc.relation.eissn","1532-429X"],["dc.relation.orgunit","Klinik für Kardiologie und Pneumologie"],["dc.rights","CC BY 4.0"],["dc.rights.holder","The Author(s)"],["dc.subject","Myocardial deformation"],["dc.subject","Strain"],["dc.subject","Cardiovascular magnetic resonance"],["dc.subject","Temporal resolution"],["dc.subject","Spatial resolution"],["dc.subject","Reproducibility"],["dc.title","Defining the optimal temporal and spatial resolution for cardiovascular magnetic resonance imaging feature tracking"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.subtype","original_ja"],["dc.type.version","published_version"],["dspace.entity.type","Publication"]]Details DOI2021-12-02Journal Article [["dc.bibliographiccitation.artnumber","136"],["dc.bibliographiccitation.issue","1"],["dc.bibliographiccitation.journal","Journal of Cardiovascular Magnetic Resonance"],["dc.bibliographiccitation.volume","23"],["dc.contributor.author","Ochs, Andreas"],["dc.contributor.author","Riffel, Johannes"],["dc.contributor.author","Ochs, Marco M."],["dc.contributor.author","Arenja, Nisha"],["dc.contributor.author","Fritz, Thomas"],["dc.contributor.author","Galuschky, Christian"],["dc.contributor.author","Schuster, Andreas"],["dc.contributor.author","Bruder, Oliver"],["dc.contributor.author","Mahrholdt, Heiko"],["dc.contributor.author","Giannitsis, Evangelos"],["dc.contributor.author","Frey, Norbert"],["dc.contributor.author","Katus, Hugo A."],["dc.contributor.author","Buss, Sebastian J."],["dc.contributor.author","André, Florian"],["dc.date.accessioned","2022-08-18T12:39:40Z"],["dc.date.available","2022-08-18T12:39:40Z"],["dc.date.issued","2021-12-02"],["dc.date.updated","2022-07-29T12:17:59Z"],["dc.description.abstract","Abstract\n \n Background\n Data on the prognostic value of left ventricular (LV) morphological and functional parameters including LV rotation in patients with dilated cardiomyopathy (DCM) using cardiovascular magnetic resonance (CMR) are currently scarce. In this study, we assessed the prognostic value of global longitudinal strain (GLS), global circumferential strain (GCS), global radial strain (GRS) and LV torsion using CMR feature tracking (FT).\n\n \n \n Methods\n CMR was performed in 350 DCM patients and 70 healthy subjects across 5 different European CMR Centers. Myocardial strain parameters were retrospectively assessed from conventional balanced steady-state free precession cine images applying FT. A combined primary endpoint (cardiac death, heart transplantation, aborted sudden cardiac death) was defined for the assessment of clinical outcome.\n \n \n Results\n GLS, GCS, GRS and LV torsion were significantly lower in DCM patients than in healthy subjects (all p < 0.001). The primary endpoint occurred in 59 (18.7%) patients [median follow-up 4.2 (2.0–5.6) years]. In the univariate analyses all strain parameters showed a significant prognostic value (p < 0.05). In the multivariate model, LV strain parameters, particularly GLS provided an incremental prognostic value compared to established CMR parameters like LV ejection fraction and late gadolinium enhancement. A scoring model including six categorical variables of standard CMR and strain parameters differentiated further risk subgroups.\n \n \n Conclusion\n LV strain assessed with CMR FT has a high prognostic value in patients with DCM, surpassing routine and dedicated functional parameters. Thus, CMR strain imaging may contribute to the improvement of risk stratification in DCM."],["dc.identifier.citation","Journal of Cardiovascular Magnetic Resonance. 2021 Dec 02;23(1):136"],["dc.identifier.doi","10.1186/s12968-021-00829-x"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/112972"],["dc.language.iso","en"],["dc.publisher","BioMed Central"],["dc.rights.holder","The Author(s)"],["dc.subject","Dilated cardiomyopathy"],["dc.subject","Cardiac magnetic resonance"],["dc.subject","Strain"],["dc.subject","LV torsion"],["dc.subject","Prognosis"],["dc.title","Myocardial mechanics in dilated cardiomyopathy: prognostic value of left ventricular torsion and strain"],["dc.type","journal_article"],["dspace.entity.type","Publication"]]Details DOI